Individual
JOSHUA GANGL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10625 W NORTH AVE STE 102, WAUWATOSA, WI 53226-2315
(414) 877-5350
Mailing address
141 N JEFFERSON ST APT 405, MILWAUKEE, WI 53202-6146
(320) 828-1263
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/06/2020
Last updated
10/14/2021
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